Amy Costello
Amy Costello is a Speech-Language Pathologist in San Jose, California. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2028 Lincoln AveSan Jose, CA 95125-3449
Phone: (708) 415-8858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146.013411 (IL) |
|---|
Record details
| NPI number | 1548711492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 16, 2016 |
| Last updated in NPPES | January 13, 2024 |
| Certification date | January 13, 2024 |
| Mailing address | 2028 Lincoln Ave, San Jose, CA 95125-3449 |
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